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Market snapshot

64493 nationwide CY2023

Medicare Part B FFS · CY2023 · as published by CMS

64493 — Injection of lower or sacral spine facet joint using imaging guidance, single level

Billing groups
1,948
Named-group FFS services
246,025
FFS of Medicare
49%
Services YoY
-0.7%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~479,650 services

246,025 observed fee-for-service (51%) · ~233,625 estimated Medicare Advantage. Scaled from the observed floor by each state’s fee-for-service share (FFS share as of 2023) — scaled estimate — assumes MA utilization mirrors FFS; not an observation. How we scale

Top states — 64493 (CY2024)
FL 65,109 CA 59,424 TX 46,272 GA 27,169 NY 23,663

Disclosed Medicare fee-for-service services by billing state; open a bar for that state's ranked market.

Named-group submitted charges
$294.6M
Named-group allowed amount
$44.5M
Named-group Medicare payments
$34.4M
Avg charge / svc
$1,198
Avg allowed / svc
$181
Avg payment / svc
$140
Average charge per group
$108 1,948 groups · avg submitted charge / service $24,910
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Specialty market — Pain Management: 8,988 services across 78 groups; top group 11%. See Pain Management across all states →

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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers 64493 svcs Submitted charges Avg charge Medicare $ Share of specialty*Share of state* Phone
1 INTERVENTIONAL SPINE AND PAIN MANAGEMENT CENTER PC CONYERS GA PAIN MANAGEMENT 51 790 $516,765 $654 — 2.8% (770) 929-9033
2 SOUTHERN CALIFORNIA PAIN CONSULTANTS, INC TORRANCE CA PAIN MANAGEMENT 2 535 $363,800 $680 39.8% 0.9% (310) 540-9888
3 FAMILY SPINE AND PAIN CARE INSTITUTE LLC VENICE FL PAIN MANAGEMENT 3 442 $340,191 $770 25.3% 0.7% (813) 495-8011
4 TULSA PAIN CONSULTANTS INC TULSA OK PAIN MANAGEMENT 5 337 $251,062 $745 — 4.5% (918) 742-7030
5 COMPREHENSIVE PAIN CARE OF SOUTH FLORIDA LLC WELLINGTON FL PAIN MANAGEMENT 3 296 $397,500 $1,343 16.9% 0.4% (561) 795-8655
6 DESERT SKY SPINE AND SPORTS MEDICINE PC TUCSON AZ PAIN MANAGEMENT 8 280 $119,549 $427 — 1.3% (520) 229-2080
7 CHICAGOLAND PAIN MANAGEMENT INSTITUTE INC BOLINGBROOK IL PAIN MANAGEMENT 8 266 $517,440 $1,945 — 1.6% (630) 312-4562
8 PRESTIGE SPINE INTERVENTIONAL PAIN MANAGEMENT LLC CONWAY AR PAIN MANAGEMENT 3 260 $309,400 $1,190 — 2.5% —
9 FLORIDA PAIN CARE PLLC CLERMONT FL PAIN MANAGEMENT 2 256 $268,003 $1,047 14.6% 0.4% (352) 559-0979
10 PHYSICIANS GROUP SERVICES PA JACKSONVILLE FL PAIN MANAGEMENT 93 235 $227,659 $969 13.4% 0.4% (904) 751-4906
11 NOVA ADVANCED PAIN MANAGEMENT PLLC MANASSAS VA PAIN MANAGEMENT 3 215 $374,238 $1,741 — 1.5% 7032572266127
12 STEPHEN M SIMS MD PA CONROE TX PAIN MANAGEMENT 5 191 $446,940 $2,340 — 0.4% (936) 756-3444
13 INTERVENTIONAL SPINE AND PAIN MANAGEMENT CENTER PC CONYERS FL PAIN MANAGEMENT 51 180 $94,680 $526 10.3% 0.3% (770) 929-9033
14 DELAWARE SPINE AND INTERVENTIONAL PAIN LLC NEWARK DE PAIN MANAGEMENT 4 178 $273,420 $1,536 — 4.6% (302) 366-2200
15 CENTER FOR INTERVENTIONAL PAIN SPINE LLC WILMINGTON DE PAIN MANAGEMENT 24 177 $549,080 $3,102 — 4.6% (844) 365-7246
16 ADVANCED SPINE AND PAIN LLC HAMMONTON NJ PAIN MANAGEMENT 43 171 $175,180 $1,024 — 1.1% (888) 985-2727
17 ROCKFORD PAIN CENTER LTD ROCKFORD IL PAIN MANAGEMENT 6 159 $239,564 $1,507 — 1.0% (815) 316-7300
18 ADVANCED SPINE AND PAIN LLC HAMMONTON PA PAIN MANAGEMENT 43 146 $140,480 $962 — 0.7% (888) 985-2727
19 THE PAIN REHABILITATION GROUP OF WICHITA FALLS PA WICHITA FALLS TX PAIN MANAGEMENT 2 136 $75,078 $552 — 0.3% (940) 696-8500
20 BRIAN BELNAP DO A MEDICAL CORPORATION ENCINITAS CA PAIN MANAGEMENT 2 133 $51,024 $384 9.9% 0.2% (760) 650-4040
21 PAIN EXPERTS OF ARIZONA PC GILBERT AZ PAIN MANAGEMENT 4 124 $53,481 $431 — 0.6% (480) 550-9393
22 SOUTHERN CALIFORNIA SPINE AND SPORT MEDICAL ASSOCIATES INC SANTA ANA CA PAIN MANAGEMENT 4 123 $73,272 $596 9.2% 0.2% (949) 999-3631
23 CHRISTIAN GONZALEZ MD LLC AVENTURA FL PAIN MANAGEMENT 11 115 $184,239 $1,602 6.6% 0.2% (305) 974-5533
24 WESTERN OKLAHOMA PAIN SPECIALISTS LLC OKLAHOMA CITY OK PAIN MANAGEMENT 10 112 $99,022 $884 — 1.5% (405) 601-4237
25 FABITO ANESTHESIA AND PAIN SPECIALISTS PC HENDERSON NV PAIN MANAGEMENT 6 108 $194,374 $1,800 — 1.7% (702) 982-1300
26 TAHER SAIFULLAH MD A PROFESSIONAL MEDICAL CORPORATION PASADENA CA PAIN MANAGEMENT 2 106 $87,480 $825 7.9% 0.2% (626) 469-2939
27 LONE STAR SPINE AND PAIN INSTITUTE PLLC SAN MARCOS TX PAIN MANAGEMENT 3 103 $184,301 $1,789 — 0.2% (512) 348-7074
28 COASTAL PAIN AND SPINAL DIAGNOSTICS MEDICAL GROUP INC CARLSBAD CA PAIN MANAGEMENT 8 103 $128,304 $1,246 7.7% 0.2% (760) 753-7127
29 NORTHWEST SUBURBAN PAIN ASSOCIATES LLC ARLINGTON HEIGHTS IL PAIN MANAGEMENT 4 97 $60,000 $619 — 0.6% (847) 255-0900
30 ALTURAS HEALTH LLC ST GEORGE UT PAIN MANAGEMENT 2 96 $24,765 $258 — 2.1% (435) 222-5527
31 PAIN MEDICINE OF THE SOUTH, PLLC KNOXVILLE NC PAIN MANAGEMENT 2 93 $30,625 $329 — 0.7% (865) 672-5070
32 LOPEZ PAIN MANAGEMENT LLC PALM COAST FL PAIN MANAGEMENT 3 88 $96,624 $1,098 5.0% 0.1% (386) 222-7746
33 DELMARVA PAIN AND SPINE CENTER LLC NEWARK DE PAIN MANAGEMENT 2 87 $48,858 $562 — 2.3% (302) 355-0900
34 PAIN DOCTORS OF AMERICA PLLC NEW YORK NY PAIN MANAGEMENT 7 84 $110,033 $1,310 — 0.3% (973) 826-2636
35 WISCONSIN SPINE AND PAIN SC SHEBOYGAN WI PAIN MANAGEMENT 17 81 $119,727 $1,478 — 1.1% (414) 455-1153
36 ARUL DORAISWAMY MD APC HEMET CA PAIN MANAGEMENT 3 80 $30,560 $382 6.0% 0.1% (951) 765-1712
37 SOUTH TEXAS CLINIC FOR PAIN MANAGEMENT MCALLEN TX PAIN MANAGEMENT 3 78 $46,800 $600 — 0.2% —
38 LARINA V GUTENBERG DO PLLC SAN ANTONIO TX PAIN MANAGEMENT 4 78 $51,044 $654 — 0.2% (210) 298-4900
39 PAIN MANAGEMENT INSTITUTE LLC WOOSTER OH PAIN MANAGEMENT 2 75 $108,570 $1,448 — 0.4% (937) 548-3063
40 PAIN CARE PROVIDERS A PROFESSIONAL MEDICAL CORPORATION IRVINE CA PAIN MANAGEMENT 2 69 $113,160 $1,640 5.1% 0.1% (949) 872-2400
41 RESTORATIVE PAIN CARE WEST CHESTER PA PAIN MANAGEMENT 2 68 $78,161 $1,149 — 0.3% (518) 650-5687
42 ATLAS PAIN AND SPINE PLLC RICHMOND KY PAIN MANAGEMENT 3 63 $51,534 $818 — 0.8% (859) 544-1068
43 PHYZMED ASSOCIATES INC SANTA MONICA CA PAIN MANAGEMENT 2 62 $38,750 $625 4.6% 0.1% (310) 547-2777
44 INVICTUS HEALTH LLC NEWPORT NEWS VA PAIN MANAGEMENT 2 60 $40,633 $677 — 0.4% (757) 310-6413
45 BRIAN LE DO PC LAS VEGAS NV PAIN MANAGEMENT 4 59 $139,750 $2,369 — 0.9% (702) 676-2000
46 ERIC FANAEE MD PC WEST ISLIP NY PAIN MANAGEMENT 2 57 $358,200 $6,284 — 0.2% (631) 422-5371
47 CENTER FOR INTERVENTIONAL PAIN SPINE LLC WILMINGTON PA PAIN MANAGEMENT 24 54 $150,520 $2,787 — 0.3% (844) 365-7246
48 PAIN RELIEF SOLUTIONS FORT LAUDERDALE FL PAIN MANAGEMENT 13 51 $23,460 $460 2.9% 0.1% (954) 458-1199
49 ORTHOMED PAIN RELIEF CENTERS LLC SARASOTA FL PAIN MANAGEMENT 2 50 $25,900 $518 2.9% 0.1% (941) 371-7171
50 ADVANCED PAIN CARE LLC MAPLEWOOD NJ PAIN MANAGEMENT 2 47 $182,400 $3,881 — 0.3% (973) 379-3688
51 UNIVERSITY SPINE AND PAIN CENTER INC HERMOSA BEACH CA PAIN MANAGEMENT 3 47 $18,800 $400 3.5% 0.1% (424) 488-0500
52 ACTIVE LIFE PHYSICAL MEDICINE AND PAIN CENTER PLLC SURPRISE AZ PAIN MANAGEMENT 3 47 $23,013 $490 — 0.2% (623) 535-9777
53 CENTER FOR SPINE AND PAIN MEDICINE PC DALTON TX PAIN MANAGEMENT 4 46 $30,820 $670 — 0.1% (706) 279-2635
54 PAIN MANAGEMENT GROUP PLLC ALLEGAN MI PAIN MANAGEMENT 7 46 $19,836 $431 — 0.5% (269) 686-4300
55 PAIN MANAGEMENT CONSULTANTS PC PORTLAND OR PAIN MANAGEMENT 2 45 $35,471 $788 — 0.6% (503) 292-7005
56 CAROLINAS PAIN CENTER PLLC HUNTERSVILLE NC PAIN MANAGEMENT 8 44 $19,114 $434 — 0.3% (704) 500-2332
57 PINNACLE PAIN LLC PHILADELPHIA PA PAIN MANAGEMENT 3 43 $12,256 $285 — 0.2% (215) 338-1811
58 ATLANTIC MEDICAL PC BROOKLYN NY PAIN MANAGEMENT 4 43 $15,050 $350 — 0.2% (718) 677-9700
59 DALLAS PAIN INSTITUTE SHERMAN TX PAIN MANAGEMENT 6 42 $55,692 $1,326 — 0.1% (903) 892-1999
60 PAIN CONTROL OF TEXAS PLLC AUSTIN TX PAIN MANAGEMENT 9 40 $133,440 $3,336 — 0.1% (512) 371-6398
61 GERSHON PAIN SPECIALISTS LLC VIRGINIA BEACH NY PAIN MANAGEMENT 7 38 $49,980 $1,315 — 0.2% (757) 496-2050
62 ALIGN SPINE AND PAIN INSTITUTE LLC DULUTH GA PAIN MANAGEMENT 2 38 $30,780 $810 — 0.1% (770) 988-7246
63 EXPERT PAIN PA HOUSTON TX PAIN MANAGEMENT 2 38 $34,240 $901 — 0.1% (832) 862-7246
64 INTERVENTIONAL SPINE AND PAIN MANAGEMENT CENTER PC CONYERS IL PAIN MANAGEMENT 51 37 $20,308 $549 — 0.2% (770) 929-9033
65 MEDHAT F MIKHAEL MD INC LONG BEACH CA PAIN MANAGEMENT 14 36 $119,489 $3,319 2.7% 0.1% (562) 595-0060
66 PAIN MANAGEMENT OF NORTH DALLAS, PA FRISCO TX PAIN MANAGEMENT 4 36 $23,360 $649 — 0.1% (214) 618-0853
67 PRECISION PAIN AND SPINE INSTITUTE LLC EDISON NJ PAIN MANAGEMENT 5 36 $152,600 $4,239 — 0.2% (732) 444-8888
68 INTERVENTIONAL REHABILITATION OF KENTUCKY PSC LOUISVILLE KY PAIN MANAGEMENT 2 34 $11,050 $325 — 0.4% (502) 589-4765
69 WESTERN OKLAHOMA PAIN SPECIALISTS LLC OKLAHOMA CITY LA PAIN MANAGEMENT 10 33 $45,790 $1,388 — 0.3% (405) 601-4237
70 PAIN CLINIC MANAGEMENT GROUP PLLC ROCHESTER HILLS OH PAIN MANAGEMENT 12 29 $38,080 $1,313 — 0.2% (248) 852-7484
71 KANSAS PAIN MANAGEMENT ROELAND PARK KS PAIN MANAGEMENT 8 29 $56,000 $1,931 — 0.5% (913) 339-9437
72 BL PAIN MANAGEMENT PLLC REGO PARK NY PAIN MANAGEMENT 4 28 $10,450 $373 — 0.1% (718) 459-9999
73 CENTER FOR SPINE AND PAIN MEDICINE PC DALTON GA PAIN MANAGEMENT 4 27 $23,517 $871 — 0.1% (706) 279-2635
74 ORANGE COUNTY SPINE AND SPORTS, PC NEWPORT BEACH CA PAIN MANAGEMENT 3 25 $155,000 $6,200 1.9% 0.0% (949) 216-5277
75 ST CHARLES SPINE INSTITUTE THOUSAND OAKS CA PAIN MANAGEMENT 5 24 $8,400 $350 1.8% 0.0% (805) 379-2322
76 RICHARD MAZZAFERRO, DO PC QUINCY MA PAIN MANAGEMENT 3 22 $39,750 $1,807 — 0.2% (617) 773-6300
77 LEE ANN BROWN DO PA CLEARWATER FL PAIN MANAGEMENT 3 22 $17,600 $800 1.3% 0.0% (727) 210-2225
78 PAIN MEDICINE PHYSICIANS MILLBURN NJ PAIN MANAGEMENT 3 22 $136,800 $6,218 — 0.1% (973) 467-1466
79 PR PAIN GROUP LLC CAGUAS PR PAIN MANAGEMENT 3 21 $5,973 $284 — 9.3% (787) 957-8282
80 THE PAIN, SPINE, AND SPORTS INSTITUTE LLC JERSEY CITY NJ PAIN MANAGEMENT 3 19 $288,000 $15,158 — 0.1% (201) 912-9233
81 FOX CHASE PAIN MANAGEMENT ASSOCIATES PC TREVOSE PA PAIN MANAGEMENT 6 19 $14,250 $750 — 0.1% (267) 288-5601
82 PAIN MEDICINE OF THE SOUTH, PLLC KNOXVILLE MA PAIN MANAGEMENT 2 17 $11,767 $692 — 0.1% (865) 672-5070
83 DENVER DIAGNOSTIC PAIN CORPORATION GREENWOOD VILLAGE OR PAIN MANAGEMENT 2 17 $10,125 $596 — 0.2% (720) 598-0805
84 CENTENNIAL MEDICAL GROUP LLP LAS VEGAS NM PAIN MANAGEMENT 10 16 $18,688 $1,168 — 0.5% (702) 839-1203
85 CENTENNIAL MEDICAL GROUP LLP LAS VEGAS FL PAIN MANAGEMENT 10 14 $7,812 $558 0.8% 0.0% (702) 839-1203
86 BUFFALO PAIN MEDICINE PC AMHERST NY PAIN MANAGEMENT 2 14 $9,828 $702 — 0.1% (716) 688-5088

*"Share of specialty" is the group's share of disclosed Medicare-FFS services for the primary code among groups with the SAME modal specialty in the state; "share of state" is the same figure against the whole state. Specialty is each group's modal member specialty from CMS's clinician register — a multi-specialty group carries one label. Where fewer than 11 groups share the specialty in the state, the specialty share renders "—" — the specialty benchmark is suppressed (fewer than 11 groups) and the state share alongside is the benchmark. Group figures sum clinicians affiliated with exactly one group. See Methods.

Comparing against an all-payer estimate?

These are exact counts from Medicare fee-for-service claims — roughly a third to half of most procedure markets, depending on payer mix. Modeled all-payer databases project the remainder statistically; we publish the audited floor and label it as such. Same market, different denominator. How the numbers reconcile →